Provider Demographics
NPI:1275554180
Name:NASRABADI, ABDOLKARIM SOHRABI (MD)
Entity Type:Individual
Prefix:
First Name:ABDOLKARIM
Middle Name:SOHRABI
Last Name:NASRABADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25042
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-5042
Mailing Address - Country:US
Mailing Address - Phone:559-438-1245
Mailing Address - Fax:559-261-2968
Practice Address - Street 1:2812 E EL PASO AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-6411
Practice Address - Country:US
Practice Address - Phone:559-438-1245
Practice Address - Fax:559-261-2968
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50149208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery